| NPI | 1104847383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUN GROVER Doctor 704-541-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 200301465) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-11-04 |